DONNETTA WALLACE

Family Nurse Practitioner

NPI: 1922436914IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

R 151800-9(MN)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2013

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Contact & Hours

Address: 1700 Highway 25 N
Buffalo, MN 55313
Phone: (763) 684-3678

Locations (2)

Practice Location

1700 Highway 25 N, Buffalo, MN

Practice Location

1001 HART BLVD STE 100, MONTICELLO, MN

Quick Facts

NPI: 1922436914
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 2
Years in Practice: 13

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